Job Safety Assessment Form

13th Malaysia Chem-e-car Competition 2018 Chem E Car Competition

University: Vehicle Name:

JSA Author Contact Name: Author Email:
Faculty Supervisor: Supervisor Email: Revision #:
Revision Date:

Purpose of Experiment / Equipment: Briefly describe your Chem-E-Car’s design, intended

mode for operation (source of power), intended mode for control (stopping), and major hazards
and their control.
Describe your car’s design:

Power source:

Stopping mechanism:

Hazards inherent in design:

a) Sharp Objects:
b) Rotating Parts:
c) Fire/explosives:
d) Corrosive Materials:
e) High pressure vessel:
f) Etc:

Safety measures:
What are the safety measures for all the items mentioned in column above:

1
Chemical Reactions: Provide details below on any chemical reaction(s) that occur in your
process. Please show the species involved, the stoichiometry and the heat of reaction, if
available. Also list side reactions and any other reactions that may impact safety.

Reduction (Cathode)

Reaction Involved in Stopping Mechanism:

Solution 1:

Solution 2:

The basic reaction is:

Expected Operating Conditions:

Temperature Pressure
Normal: °C Normal:
Minimum: °C Minimum:
Maximum: °C Maximum:

Disallowed Activities: All activities listed below are not allowed.

.
Item
(a) Chemicals must not be stored in hotel rooms or other facilities not rated for chemical
storage. Approved chemical storage will be provided at the host site.
(b) No vehicle testing in hotel or dorm hallways, warehouses, or other facilities that are not
designed for chemical handling. This includes your university and the competition site.
(c) No improper disposal of chemicals at the conclusion of the competition. All chemicals
shipped to the competition site must be disposed of in a safe and environmental fashion
following all local, state and national regulatory measures. Chemical disposal will
normally be provided by the host site.

Disallowed Vehicles: All of the items listed below are not allowed.
Item Explanation
2
 (a) Flames and/or smoke
(b) Liquid Discharge
(c) Open and/or
improperly
secured containers
(d) Chemical pouring at
starting line
(e) Regulated Chemicals
(f) Highly Reactive /
Unstable Chemicals
(g) Hydrogen peroxide
Both inside and outside the vehicle.
Liquid, including water, may not be discharged under normal
operating conditions.
Containing chemicals having an NFPA rating of 2 or greater.
No open containers allowed at the starting line or during the
operation of your vehicle. All containers with these chemicals
must have secure lids and must be secured to the vehicle. All
containers brought to the starting line must have lids, be
properly labeled, and proper personal protective equipment
must be used.
Any chemicals with an NFPA rating of 2 or greater. Use a
holding vessel on vehicle, with valve, to load starting
chemicals.
A number of chemicals are listed by OSHA as a special
hazard. See list below. OSHA has a special regulation for
each chemical. See www.osha.gov for details.
Any chemical, raw material, intermediate or product with an
NFPA reactivity / instability rating of 4.
Hydrogen peroxide at concentrations of greater than 30% is
not allowed.

Regulated chemicals: asbestos, coal tar pitch volatiles, 4-nitrobiphenyl, alpha-napthylamine,

methyl chloromethyl ether, 3,3'-dichlorobenzidine, bis-chloromethyl ether,
beta-naphthylamine, benzidine, 4-aminodiphenyl, ethyleneimine, beta-propiolactone,
2-acetylaminofluorene, 4-dimethylaminoazo-benezene, n-nitrosodimethylamine, vinyl chloride,
inorganic arsenic, benzene, 1,2-dibromo-3-chloropropane, acrylonitrile, ethylene oxide,
formaldehyde, 4,4'-Methylenedianiline, 1,3-butadiene, methylene chloride